Africa Watch
Critics Push Back Against Trump’s ‘America First Global Health Strategy’ for Africa
A controversial shift in the United States’ foreign health policy has sparked growing concerns across Africa and the global health community.
There is a strong pushback against what critics describe as a transactional approach by the United States that may undermine national health sovereignty and long-term disease management on the African continent.
Under the “America First Global Health Strategy” (AFGHS) — a framework that has led to bilateral health cooperation agreements between the U.S. and several African countries — critics warn that the long-term memoranda of understanding (MOUs) signed with nations such as Nigeria, Rwanda, Uganda, Lesotho, Eswatini, Kenya, Liberia and Mozambique could come at the cost of African health autonomy and regional cooperation.
The strategy shifts the U.S. approach from traditional multilateral aid — often routed through the now-scrapped USAID and global partnerships — toward direct government-to-government agreements. This model ties health funding to co-financing obligations, data sharing requirements, and collaboration with private sector entities, raising alarms among activists, health experts and civil society groups.
Transactional Aid and Data Concerns
Critics, including more than 50 civil society organizations, argue that several elements of the agreements grant U.S. access to sensitive health data and pathogen information, potentially for decades, and inadequately protect African countries’ control over their health priorities. They say this could disrupt efforts to prioritise pressing national health needs such as maternal care, non-communicable diseases and decentralized primary health systems.
Opposers of the deal maintain that vast data-sharing clauses and provisions favoring private actors may lead to external influence over national health strategies, effectively co-opting health governance rather than supporting locally-led systems.
“By agreeing to one-sided bilateral pathogen sharing agreements with the U.S., your country risks breaking solidarity with broader African and Global South negotiating blocs,” said representatives from People’s Health Movement.
A Shift in U.S. Foreign Health Policy
The Trump administration’s approach realigns U.S. health diplomacy — moving away from a multilateralist model to one framed around national interest and bilateral engagement. Proponents argue this could boost accountability, reduce dependency on foreign aid, and encourage self-reliance in partner countries. U.S. officials have said the strategy aims to “advance… resilient, self-reliant and durable health systems” by pooling resources and reinforcing local contributions.
However, global health experts caution that sidelining multilateral mechanisms — such as the World Health Organization, the Africa Centres for Disease Control and Prevention, and regional procurement frameworks — weakens collective capability to manage pandemics, disease surveillance and equitable access to health commodities. Epidemics, by nature, transcend borders and require unified responses rather than isolated bilateral deals, they argue.
Balancing Aid with Sovereignty
Countries like Kenya and Uganda have entered substantial deals — Kenya reportedly securing a $2.5 billion agreement and Uganda approaching $1.7 billion — with both sides pledging co-investment and expanded health programs focusing on HIV/AIDS, tuberculosis, malaria, polio and other priority diseases.
Yet, the policy’s long-term implications remain uncertain.
Opponents argue that overly prescriptive agreements could fragment Africa’s regional health strategies, undermine collective bargaining in global forums, and retain unequal power dynamics that disadvantage African nations in setting health priorities.
Supporters of the model, like the Chatham House, on the other hand, highlight potential gains in domestic health workforce development, infrastructure enhancement, and local ownership of health systems. Some analysts also note that if properly balanced, bilateral engagement can complement rather than replace multilateral cooperation — a nuance that may shape future negotiations.
The Debate Ahead
With the United States continuing to pull back from traditional aid channels such as the U.S. Agency for International Development (USAID) and reconfiguring its health diplomacy, African health policymakers face crucial decisions about how to negotiate terms that preserve national sovereignty, data security, and equitable access to health services.
Africa Watch
President Mahama Arrives in Brazzaville for N’Guesso’s Inauguration as Re-Elected Leader of Congo
Brazzaville, Republic of Congo – Ghanaian President John Dramani Mahama has arrived in Brazzaville to attend the investiture ceremony of re-elected President Denis Sassou N’Guesso, who secured a new five-year term as leader of the Republic of Congo.
Mahama landed in the Congolese capital on Wednesday, April 15, 2026, following a packed schedule in Ghana that included the official launch of his government’s flagship Free Primary Healthcare policy at the Shai-Osudoku District Hospital in Dodowa and the announcement of temporary measures to cushion Ghanaians against rising fuel prices.
The investiture ceremony for President Sassou N’Guesso is scheduled for Thursday morning, after which Mahama is expected to return to Accra.
Sassou N’Guesso, one of Africa’s longest-serving heads of state, has been a dominant figure in Congolese politics for decades. His re-election reinforces continuity in the Central African nation, where he has previously served multiple terms.
The Ghanaian president’s attendance at the event highlights the strong diplomatic and brotherly ties between Ghana and the Republic of Congo, both of which continue to play active roles in advancing Pan-African cooperation, regional stability, and economic integration.
The visit also comes at a time when Ghana is intensifying its engagement with fellow African nations on key development issues, including healthcare access, energy security, and economic resilience.
President Mahama’s participation is seen as a demonstration of solidarity and a reaffirmation of Ghana’s commitment to strengthening bilateral relations across the continent.
Africa Watch
South Africa Returns Ancestral Remains and Sacred Zimbabwe Bird to Zimbabwe After Over a Century
Cape Town, South Africa – South Africa has formally returned ancestral human remains and a sacred Zimbabwe Bird stone carving to Zimbabwe, more than 100 years after they were taken during the colonial era, in a significant act of cultural restitution between the two nations.
The handover ceremony took place on Tuesday at the Iziko South African Museum. Eight coffins draped in the Zimbabwean flag contained the remains of individuals who had been unethically exhumed for colonial research.
Zimbabwean officials said the remains would be further studied upon return and eventually laid to rest in their rightful places. South Africa’s Culture Minister Gayton McKenzie described the restitution as an important step in restoring dignity, pride, and history to the people of Zimbabwe.

Also returned was the iconic soapstone Zimbabwe Bird (Chapungu), a powerful national and spiritual symbol believed to carry protective meaning. One of several carvings looted from the ancient Great Zimbabwe ruins (built between the 11th and 13th centuries), it was taken by a British explorer in the late 19th century and sold to Cecil John Rhodes.
Most of the other birds were returned shortly after Zimbabwe’s independence in 1980. The birds, which stand about 33 centimetres tall and were originally perched on stone columns, feature prominently on Zimbabwe’s national flag, banknotes, and coins.
The restitution forms part of a growing global movement for the return of African cultural artefacts and human remains taken during the colonial period. Zimbabwean government representative Reverend Paul Damasane welcomed the artefacts home, calling it a long-overdue moment of healing and reconnection with the nation’s heritage.
Africa Watch
Pope Leo XIV to Embark on Ambitious 10-Day Tour of Four African Nations
Pope Leo XIV will depart on Monday, April 13, 2026, for a major 10-day apostolic journey to Africa, visiting Algeria, Cameroon, Angola, and Equatorial Guinea.
Vatican officials are describing the tour as a deliberate effort to shine a global spotlight on the continent.
The trip, spanning nearly 18,000 kilometers (11,185 miles) and including stops in 11 cities and towns, will be the longest and most ambitious overseas journey of the pontiff’s young papacy.
During the tour, running from April 13 to 23, the 70-year-old Pope is scheduled to deliver 25 speeches, hold meetings with political leaders, and engage extensively with local Catholic communities.
Cardinal Michael Czerny, a senior Vatican official and close adviser to Pope Leo, said the visit is intended “to help turn the world’s attention to Africa.”
He noted that by heading to the continent early in his pontificate, the first American Pope is sending a strong message that “Africa matters” and should not be overlooked amid other global concerns.
Africa is currently the fastest-growing region for Catholicism, with more than 20% of the world’s 1.4 billion Catholics now living on the continent. Equatorial Guinea, which has not hosted a papal visit since 1982, is over 70% Catholic, while significant Catholic populations exist in Cameroon and Angola. Algeria, by contrast, is overwhelmingly Muslim with a small Catholic community.
The tour comes as Pope Leo has taken an increasingly vocal stance against the ongoing war in Iran. Vatican officials say the African visit reflects both the Church’s pastoral priorities and its commitment to global solidarity with regions often marginalized in international discourse.
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